There’s a certain breed of traveler who will, often to their detriment, go to extreme lengths to avoid looking like a tourist. I know, because I’m one of them. Whatever spawned this phobia is anyone’s guess, but I really, really, really dislike standing out in a crowd, especially if that crowd is foreign, and I’m eating.

While I also sneak looks at maps and guidebooks on the DL when I’m lost, the thing that really troubles me is being clueless about local or national etiquette while dining, especially when it comes to street food (my raison d’être). I always research beforehand – learning, for example, that in Thailand the spoon is the primary eating utensil; it’s abhorrent to insert a fork into your mouth and chopsticks are only used for noodle dishes and primarily in the North. But it’s sometimes impossible to know local custom until you’re actually in the moment (above, Bolivian lustrabotas, or shoe shine men, eat on the street)

I’m pretty sure it was a long-ago trip to Vietnam that scarred me. I’d been in the country all of a couple of hours, and was eating my first meal. I was sitting at a miniscule table on the sidewalk in coastal Nha Trang, happily wolfing down báhn cuon. That is, until the young Vietnamese guy next to me, who unfortunately spoke some English, informed me that I was eating it the wrong way, and making something of an ass of myself (yet providing entertainment for our less vocal tablemates). I was mortified, and sure enough, I noticed the snickers and giggles due to how the silly round-eye was eating her rice noodle roll. To be honest, I can’t even remember how to eat bánh cuon, but at the time, it was clearly emotionally challenging.While I appreciated the advice, I didn’t particularly feel it was given so much to be helpful as it was to make me feel stupid. Or maybe that’s just how I interpreted it. But ever since, my policy regarding street food in vastly different cultures has been to adopt a watch-and-wait policy.

When I arrived in Bolivia two weeks ago, I leapt of out bed my first morning to head to the Mercado Lanza to try some salteñas and tucumanas– two Bolivian street specialties that are variations on the ubiquitous empanada. Empanadas are my Kryptonite, so I was ready to do some damage. Best of all, there’s no learning curve. Insert in mouth; enjoy. I naively assumed their Bolivian cousins are just as easy to gobble.

Salteñas (right) are baked pastries formed into domed half-moons. They’re usually filled with a spiced meat and egg mixture, but their essential purpose is to be full of juice. I knew this, but grossly underestimated just how much they’re the Shanghai soup dumplings of pastry. The proper way to eat them is not to simply purchase and take a huge bite (note to self), because that will result in a.) scalding, meaty juice exploding in your mouth and singing its way down your esophagus, and b.) greasy, aromatic, meaty juice squirting all over your clothes (like, say, your really expensive microlight down jacket that you use for backpacking). You’ll also attract the attention of passerby, who will smirk at the idiot gringa who just had a salteña explode in her face.

I later learned, from a menu photo at a salteñeria, that one is supposed to eat them with a spoon. I’m not sure how that applies to the street, but let’s just say my second go was much more successful, and less humiliating. That said, I’m not a big salteña fan, as it turns out.
Tucumanas are basically the same shape as empanadas, except they’re always fried. They’re often filled with a mixture of chicken and potato, and my first taste occurred about 15 minutes after my unfortunate salteña encounter.
Determined not to be the same fool twice, I watched a crazy-busy street vendor (right) frying and serving tucumanas at warp speed. My street food credo is to only purchase from stalls or carts that are doing a rapid business, to ensure a fresh product (plus, it’s a sign that the food is good, if not great). I observed the various patrons eating their tucumanas, and when I felt ready, I ordered one.

It was rapturous – light as air, yet fragrant and savory. I stood hovering next to the cart, squirting a bit of mayonnaise-based salsa into the tucumana after each bite. I hunched, so as not to dribble any bits of filling. I shared the salsa squeeze bottle. I wiped my mouth with the square of paper it had been wrapped in. Then I ordered another. You know you’ve achieved street food nirvana when the vendor doesn’t demand money until you’ve eaten your fill. Bless you, Bolivia.

Whether you’re a beach-bound college student or a middle-aged couple headed to the Rockies for some end-of-season snow, spring break presents the same health risks every year. Fortunately, they’re all easily preventable by using common sense and following a few basic rules.

This year, here’s hoping your only souvenirs are great photos and even better memories.

Hangover helpers
You could just watch your alcohol consumption, or try drinking a glass of water in between drinks, but I hear you laughing. Try to maintain, especially if you’re in a foreign country, traveling alone or at altitude. If I wake up with a hangover that not even a truckload of Tylenol can cure (it’s also not good for your liver when taken in combination with booze), I swear by coconut water, which is loaded with electrolytes. Don’t forget to consume regular water, as well, and get something in your stomach that’s full of complex carbs and protein, not grease (sorry).

Adjust for altitude
Regardless of your physical condition, altitude sickness can strike anyone. Give yourself a couple of days to acclimate, hydrate frequently and take ibuprofen, aspirin or even Diamox if you’re really feeling bad. Watch your alcohol consumption! One drink has the effect of two (see above if you ignore this advice).

Prevent food- or waterborne illness
Far be it from me to tell anyone to avoid street food, unless they have a compromised immune system, or are very old or young. You can safely enjoy street eats in foreign countries, as long as you know what to look for. If a stall or vendor doesn’t have a line, or their sanitation practices are poor, give it a miss; the same rule applies to restaurants (just because gringos flock there doesn’t mean it’s safe). As for water, I avoid ice cubes in rural areas and from street vendors, and always check bottled water in developing nations to make sure the seal isn’t broken. Don’t forget to travel with Imodium, because nothing is ever foolproof.

Save your skin
Yes, you need to wear sunscreen, even if it’s cloudy, rainy or snowing, and you need to reapply it thoroughly every two hours. Wear a minimum SPF 30 broad spectrum product. Ask your dermatologist for referrals; not all brands are created equal.

Be self-aware
Being drunk n’ sloppy is never attractive, but it can also be downright dangerous. Know your limit, stick with you friends if you’re not traveling solo, and if you (ahem) get separated, maintain phone contact, let them know where you are and who you’re with, and when they can expect you back. We’ve all had a spring fling, but safety should always come first.

On some level, catching a weird disease or picking up a little-known tropical parasite on your travels gives you bragging rights. “Look at me, I’m so hardcore!” Trust me, I’ve been there. But with Multidrug-Resistant Tuberculosis (MDR TB) making headlines worldwide, I’d like to remind fellow travelers that these diseases are no joke, and even those of us with healthy immune systems and access to industrialized medicine aren’t impervious.

The reality is, you never know what you might be susceptible to. In my case, my doctors and medical research indicate that I may be lacking an enzyme that made me vulnerable to an extremely rare but serious tropical disease caused by the bacteria Bartonella bacilliformis, which causes Oroya Fever (and its precursor, Verruga Peruana). I’m still recovering from a three-year battle with the disease that has resulted in permanent organ damage because of a failure to protect myself against sand flies in the Amazon Basin region of Ecuador. Regular applications of DEET could have prevented that, as well as the various misdiagnoses of tuberculosis, histoplasmosis, and Hodgkin’s lymphoma, but that’s another story.

A lot of tropical and uncommon travel-related ailments are difficult to diagnose, and sometimes even more problematic to cure (if they don’t kill you, first). Statistically, however, most travelers–even if they’re in extremely sketchy parts of the world–will stay healthy if they take the necessary precautions. Having a trustworthy travel doctor is also helpful if you spend a lot of time in developing nations.
Being prepared before you leave home is key. You should never take travel wellness lightly, but don’t let fear ruin your trip. I certainly don’t follow every bit of medical advice out there (I honestly don’t see the point of traveling if not to eat epic quantities of street food.). If you’re going to be completely paranoid and don’t own a Hazmat suit, perhaps it’s better to stay home. But don’t ignore CDC warnings for recommended (or required) vaccinations, and if you know you’re going to be in a malarial or otherwise-dangerous insect-or-disease-inhabited region, prepare accordingly.

Just remember to do your research before you go, and remember that while it most likely won’t happen to you, it’s not impossible.

After the video (graphic, but it illustrates just how devastating TB can be, as well as provides important information on Multidrug-Resistant Tuberculosis), a gallery of bizarre diseases you’ll want to avoid during your travels.

For many people–myself included–one of the most enjoyable aspects of travel is experiencing how other cultures eat. Even if you’re only traveling as far as the other end of the state, chances are there’s a regional specialty, street food, farmers market, or restaurant that’s a destination in its own right.

Sometimes, however, the pickings are slim, or no matter how delicious the food, the odds are just stacked against you. As Anthony Bourdain put it on a recent episode of his new series, The Layover, “…if there’s not a 50-percent chance of diarrhea, it’s not worth eating.”

Gross, perhaps, but gluttonous travelers know there’s truth in those words. Bourdain happened to be referring to a late-night drunk binge at one of Amsterdam‘s infamous FEBO fast food automats (above), so with that in mind, I present this photographic homage to the things we eat on the road, despite knowing better. Walk softly, and carry a big bottle of Imodium

Travel junkies are a special breed. Only a very distinct personality type gets a rush from being on the road as much as possible, or relishes the discomforts and situations most people go to lengths to avoid. Homesickness is a foreign concept.

I know, because I too suffer from this malady. It started early, because I have a vivid memory of bursting into tears when I was six or seven, after we dropped a friend off at the airport.

“What’s wrong?” my dad asked. “I’m sad because we’re not getting on an airplane,” was my reply (ironic given my aviophobia, which had its onset about 12 years later).

A paralyzing fearof air travel hasn’t stopped me from roaming, however. So, whether you have a loved one who practically lives at Club Med or one actually enjoys sleeping on the ground or in janky Third World hostels rife with cockroaches…lucky you. You have a travel addict in the family or as a friend.

One experience incessant wanderers don’t go looking for? Illness or injury. While not inevitable, the more time you spend abroad, the greater the likelihood of suffering from anything from an infected bug bite or Bali Belly to…worse. But as I’ve always said, you can get hit by a bus crossing the street.

Of course travel isn’t inherently unsafe, but there are precautionary measures that minimize the odds of having health issues on the road. Below, my road-tested gift picks for frequent travelers (especially those who visit sub-tropical or tropical climes) and outdoor enthusiasts.

SteriPEN or LifeStraw portable water filter
Reasons why one of these is a worthwhile investment:

Saves money on purchasing bottled water in developing nations/places without potable water

Better for the environment (see above)

You can contract giardia or other nasties from improperly “bottled” water (trust me)

You don’t have to be out in the backcountry to have a potable water shortage; owning a filtration system is good insurance you stay hydrated and healthy, even in the city.

[Photo credit: Flickr user fauxrealphotos]Travel first aid kit
Even infrequent travelers should carry basic first-aid supplies: band-aids, gauze pads, Neosporin, OTC meds, etc.. Personalize your gift by tailoring a pre-purchased kit (REI is a great place to find different types and sizes) to suit the interests and needs of your recipient.

Wilderness first aid class
CPR or a general first aid class is a good idea for anyone, but if any of your loved ones live for backcountry pursuits or traveling off the beaten path, a WFA course can be a lifesaver–literally. Look one up in your area through the American Red Cross.

Controlled-release DEET and/or Insect Shield apparel
There was a time, several years ago, when I shunned DEET unless I was in a malarial region. Why, I asked myself, would I willingly douse myself in a pesticide? Why would I inflict said poison upon the environment?

That philosophy is all well and good until you get bitten by something harboring an infectious evil (in my case, it was sandflies carrying the Bartonella bacilliformis bacterium) that anti-malarials can’t prevent. Also note that malaria prophylaxis is not without considerable side-effects and may not protect you against certain strains of the disease. Be sure to talk to an infectious disease, tropical medicine, or travel physician experienced with actual working experience in these regions.

These days, I’m all about DEET if I’m traveling somewhere with potentially harmful biting insects, especially now that there are controlled-release versions on the market (there are various brands on the market; Sawyer Products is highly recommended). One application is good for up to 12 hours.

As for clothes, I love my Insect Shield long sleeve button-up shirt from ExOfficio. Good for up to 70 washings (after which you still have a good-looking, lightweight travel top), bug-repelling garments are treated with permethrin, EPA-registered, and free of toxic-smelling fumes.

Sun protective clothing
As you likely know, heat exhaustion or heat stroke can be serious; even fatal. In addition to a good sunblock, sunglasses, and a hat, sun protective clothing is a seriously smart idea for outdoor types. Once again, I recommend ExOfficio, or REI own brand, which will save you a few dollars.

Bear bell or spray
Google “2011 grizzly attacks.” ‘Nuff said.SmartWool socks
What they say in the military is true: you gotta take care of your feet. Once your dogs go, you’re SOL in the backcountry or tropics. Keeping feet clean and dry (and warm, if applicable) is of utmost importance (at the very least, fellow travelers will appreciate your hygiene efforts). These moisture-wicking, stench-resistant socks are invaluable even if you’re just planning an extended trip.

Ibex woolies
Getting chilled can quickly become serious or fatal, and hypothermia prevention in the form of extra layers is key. These 100% merino wool underlayers from Vermont-based outfitter Ibex are the bomb. Comfortable, warm, moisture-wicking, and seriously odor-proof (anything that remains fit to wear in public after a month-long backpacking trip from the Andes to the Amazon–sans laundry–is a product I heartily endorse). Plus, they come in cute stripey designs as well as solids.